| NPI | 1023261393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY20006) |
| Additional Taxonomies | 103TE1100X Psychologist, Exercise & Sports (Licence: CA PSY20006) |
| 103TH0004X Psychologist, Health (Licence: CA PSY20006) | |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2008-10-29 |